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Provider Burnout

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281. Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections Full Text available with Trip Pro

Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections To examine burnout prevalence among California neonatal intensive care units (NICUs) and to test the relation between burnout and healthcare-associated infection (HAI) rates in very low birth weight (VLBW) neonates.Retrospective observational study of provider perceptions of burnout from 2073 nurse practitioners, physicians, registered nurses and respiratory therapists, using a validated four-item (...) questionnaire based on the Maslach Burnout Inventory. The relation between burnout and HAI rates among VLBW (<1500 g) neonates from each NICU was evaluated using multi-level logistic regression analysis with patient-level factors as fixed effects.We found variable prevalence of burnout across the NICUs surveyed (mean 25.2±10.1%). Healthcare-associated infection rates were 8.3±5.1% during the study period. Highest burnout prevalence was found among nurses, nurse practitioners and respiratory therapists (non

2016 Journal of Perinatology

282. Working Overtime in Community Mental Health: Associations with Clinician Burnout and Perceived Quality of Care Full Text available with Trip Pro

Working Overtime in Community Mental Health: Associations with Clinician Burnout and Perceived Quality of Care Funding cuts have increased job demands and threatened clinicians' ability to provide high-quality, person-centered care. One response to increased job demands is for clinicians to work more than their official scheduled work hours (i.e., overtime). We sought to examine the frequency of working overtime and its relationships with job characteristics, work-related outcomes, and quality (...) of care in community health clinicians.One hundred eighty-two clinicians completed demographic and job characteristics questions and measures of burnout, job satisfaction, turnover intention, work-life conflict, and perceived quality of care. Clinicians also reported the importance of reducing stress and their confidence in reducing their stress. Clinicians who reported working overtime were compared to clinicians that did not on demographic and job characteristics and work-related outcomes.Ninety

2016 Psychiatric rehabilitation journal Controlled trial quality: uncertain

283. Moral Stress and Job Burnout Among Frontline Staff Conducting Clinical Research on Affective and Anxiety Disorders Full Text available with Trip Pro

Moral Stress and Job Burnout Among Frontline Staff Conducting Clinical Research on Affective and Anxiety Disorders There has been increased attention on job-related stress and burnout experienced by clinicians working with vulnerable and at-risk populations, including effects on personal mental health, therapeutic decision-making, and job effectiveness. Little is known, however, about the job-related stressors and symptoms of burnout experienced by clinical research staff working with similar (...) populations, especially in terms of moral stress they may experience when adherence to scientific procedures appears to conflict with their personal commitment to address the clinical needs of their research participants or role as health care provider. In this national study, 125 frontline research workers conducting clinical research studies with individuals diagnosed with affective and anxiety disorders completed an online survey including measures assessing research work related moral stress, job

2016 Professional psychology, research and practice

284. Burnout Status at Work among Health Care Professionals in aTertiary Hospital Full Text available with Trip Pro

Burnout Status at Work among Health Care Professionals in aTertiary Hospital Burnout is a physical, physiological and psychological stress reaction syndrome Caused by long-term exposure to intense work-related emotional and interpersonal pressures. There is no evidence on the issue in Ethiopian setting.An institution based cross-sectional study design was conducted on 403 health care providers. Burnout was detected using Copenhagen's burnout inventory tool. Other structured questionnaire (...) on work-related condition and substance use habits was used to collect data. Binary logistic regression was used to identify the associated factors of burnout at work.Of all the study participants, 36.7% scored above the mean level of burnout. Highest prevalence (82.8%) of burnout status was found among nurses. The least prevalence of burnout was observed among laboratory technicians which was 2.8% (n=4). Job insecurity, history of physical illness, low interest in profession, poor relationship status

2016 Ethiopian journal of health sciences

285. Burnout Preventions, Professionalism Heightening, and Enhancing Resiliency (BUPHER)

adding more. Burnout Preventions, Professionalism Heightening, and Enhancing Resiliency (BUPHER) (BUPHER) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT02963792 Recruitment Status : Not yet recruiting First Posted (...) : November 15, 2016 Last Update Posted : November 15, 2016 See Sponsor: michal roll Collaborators: Association for Children at Risk Tel Aviv University Information provided by (Responsible Party): michal roll, Tel-Aviv Sourasky Medical Center Study Details Study Description Go to Brief Summary: Due to their difficult and stressful work surgeons are under continuous physical and mental stress exposing them to increased risk for burnout and lack of professionalism. The present intervention focuses

2016 Clinical Trials

286. Emotional Experience and Burnout in Physician

provided by (Responsible Party): Assistance Publique - Hôpitaux de Paris Study Details Study Description Go to Brief Summary: Recent studies have highlighted a high incidence of burnout among surgeons. The aim of this study is in particular to investigate if this is the consequence of performing surgery (i.e. invasive procedures) or whether it is related to the cultural background of surgeons. Condition or disease Emotional Experience and Burnout in Physicians Detailed Description: A mixed method (...) Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: Undecided Keywords provided by Assistance Publique - Hôpitaux de Paris: Emotional experience and burnout in physicians Additional relevant MeSH terms: Layout table for MeSH terms Burnout, Psychological Stress, Psychological Behavioral Symptoms

2016 Clinical Trials

287. Recognizing and Preventing Burnout

Recognizing and Preventing Burnout Recognizing and Preventing Burnout - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Recognizing and Preventing Burnout The safety and scientific validity of this study (...) is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02825004 Recruitment Status : Completed First Posted : July 7, 2016 Last Update Posted : February 1, 2018 Sponsor: Fondazione Don Carlo Gnocchi Onlus Information provided by (Responsible Party): Paolo Banfi, Fondazione Don Carlo Gnocchi Onlus Study Details Study Description Go to Brief Summary: The purpose

2016 Clinical Trials

288. Stress, burnout and depression: A systematic review on DNA methylation mechanisms. (Abstract)

of stress-related mental disorders. Thus, the aim of this review is to provide an overview of DNA methylation mechanisms in stress, burnout and depression. In addition to state-of-the-art overview, the goal of this review is to provide a scientific base for burnout biomarker research. We performed a systematic literature search and identified 25 pertinent articles. Among these, 15 focused on depression, 7 on chronic stress and only 3 on work stress/burnout. Three epigenome-wide studies were identified (...) Stress, burnout and depression: A systematic review on DNA methylation mechanisms. Despite that burnout presents a serious burden for modern society, there are no diagnostic criteria. Additional difficulty is the differential diagnosis with depression. Consequently, there is a need to dispose of a burnout biomarker. Epigenetic studies suggest that DNA methylation is a possible mediator linking individual response to stress and psychopathology and could be considered as a potential biomarker

2016 Journal of psychosomatic research

289. Efficacy of an internet-based intervention for burnout: a randomized controlled trial in the German working population. (Abstract)

-follow-up. Intention-to-treat analyses revealed significant group differences in favor of the intervention group in depression (d = 0.66), cynicism (d = 0.87) and personal accomplishment (d = 0.75).The intervention helped ameliorate symptoms of work-related stress and burnout. Although limited by a small sample size, the study suggests that the program provides effective support for affected individuals. However, further studies with bigger sample sizes should be conducted to examine the effects (...) Efficacy of an internet-based intervention for burnout: a randomized controlled trial in the German working population. Internet-based interventions are a viable treatment option for various mental problems. However, their effects on the burnout syndrome yielded mixed results. In this paper, we examine the efficacy of a structured and therapist-guided internet intervention, based on solution-focused and cognitive-behavioral therapy, for individuals with symptoms of burnout.Two-arm, Internet

2016 Anxiety, stress, and coping Controlled trial quality: uncertain

290. Burnout in the intensive care unit professionals: A systematic review. Full Text available with Trip Pro

-being and the quality of professional care they provide and can, therefore, be detrimental to patient safety. The objectives of this study were: to determine the prevalence of burnout in the ICU setting; and to identify factors associated with burnout in ICU professionals.The original articles for observational studies were retrieved from PubMed, MEDLINE, and Web of Science in June 2016 using the following MeSH terms: "burnout" and "intensive care unit". Articles that were published in English (...) Burnout in the intensive care unit professionals: A systematic review. Burnout has been described as a prolonged response to chronic emotional and interpersonal stress on the job that is often the result of a period of expending excessive effort at work while having too little recovery time. Healthcare workers who work in a stressful medical environment, especially in an intensive care unit (ICU), may be particularly susceptible to burnout. In healthcare workers, burnout may affect their well

2016 Medicine

291. Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident. (Abstract)

6 months. Involvement in a PSI was related to a greater risk of burnout (β=0.40, OR=2.07), to problematic medication use (β=0.33, OR=1.84), to greater WHI (β=0.24), and to more turnover intentions (β=0.22). Harm to the patient was a predictor of problematic medication use (β=0.14, OR=1.56), risk of burnout (β=0.16, OR=1.62), and WHI (β=0.19).Second victims experience significant negative outcomes in the aftermath of a PSI. An appropriate organizational response should be provided to mitigate (...) Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident. Human errors occur everywhere, including in health care. Not only the patient, but also the involved health professional is affected (ie, the "second victim").To investigate the prevalence of health care professionals being personally involved in a patient safety incident (PSI), as well as the relationship of involvement and degree of harm with problematic medication use, excessive alcohol consumption

2016 Medical Care

292. Risk of Burnout in Danish GPs and Exploration of Factors Associated with Development of Burnout: A Two-Wave Panel Study Full Text available with Trip Pro

of physicians who participated in 2004 was obtained through the Registry of Health Providers in 2012. Results. 216 GPs completed both surveys. The risk of developing burnout during the 7-year followup was 13.2% (8.2-19.6%). GPs who in 2004 were burnout-free and reported that they would not select general practice as medical specialty again had a statistically significant increased risk of burnout in 2012 (OR = 4.5; 95% CI = 1.2-16.5; P = 0.023). Among GPs with burnout in 2004, 25.0% had withdrawn from (...) Risk of Burnout in Danish GPs and Exploration of Factors Associated with Development of Burnout: A Two-Wave Panel Study Background. We assessed risk of burnout in GPs during a 7-year followup and examined whether (1) thoughts about changing medical specialty increased the risk of burnout and (2) burned out GPs had higher job turnover rates than burnout-free GPs. Methods. In 2004 and 2012, all GPs in the county of Aarhus, Denmark, were invited to participate in a survey. Retirement status

2013 International Journal of Family Medicine

293. Aerobic exercise training and burnout: a pilot study with male participants suffering from burnout. Full Text available with Trip Pro

was large, revealing changes of substantial practical relevance. Additionally, profiles of mood states improved considerably after single exercise sessions with a marked shift towards an iceberg profile.Among burnout patients, the findings provide preliminary evidence that exercise has the potential to reduce stress and prevent the development of a deeper depression. This has important health implications given that burnout is considered an antecedent of depressive disorders.ClinicalTrials.gov (...) Aerobic exercise training and burnout: a pilot study with male participants suffering from burnout. Occupational burnout is associated with severe negative health effects. While stress management programs proved to have a positive influence on the well-being of patients suffering from burnout, it remains unclear whether aerobic exercise alleviates burnout severity and other parameters related to occupational burnout. Therefore, the main purpose of this study was to pilot-test the potential

2013 BMC research notes

294. Designing An Individualized EHR Learning Plan For Providers Full Text available with Trip Pro

Designing An Individualized EHR Learning Plan For Providers Electronic Health Records (EHRs) have been quickly implemented for meaningful use incentives; however these implementations have been associated with provider dissatisfaction and burnout. There are no previously reported instances of a comprehensive EHR educational program designed to engage providers and assist in improving efficiency and understanding of the EHR. Utilizing adult learning theory as a framework, Stanford Children's (...) Health designed a tailored provider efficiency program with various inputs from: (1) provider specific EHR data; (2) provider survey data; and (3) structured observation sessions. This case report outlines the design of this individualized training program including team structure, resource requirements, and early provider response.Stevens LA, DiAngi YT, Schremp JD, Martorana MJ, Miller RE, Lee TC, Pageler NM. Designing An Individualized EHR Learning Plan. Appl Clin Inform 2017; 8:924-935 https

2017 Applied clinical informatics

295. Always a burden? Healthcare providers' perspectives on moral distress. (Abstract)

Always a burden? Healthcare providers' perspectives on moral distress. Current conceptualisations of moral distress largely portray a negative phenomenon that leads to burnout, reduced job satisfaction and poor patient care.To explore clinical experiences, perspectives and perceptions of moral distress in neonatology.An anonymous questionnaire was distributed to medical and nursing providers within two tertiary level neonatal intensive care units (NICUs)-one surgical and one perinatal-seeking (...) their understanding of the term and their experience of it. Open-ended questions were analysed using qualitative methodology.A total of 345 healthcare providers from two NICUs participated (80% response rate): 286 nurses and 59 medical providers. Moral distress was correctly identified as constrained moral judgement resulting in distress by 93% of participants. However, in practice the term moral distress was also used as an umbrella term to articulate different forms of distress. Moral distress was experienced

2017 Archives of Disease in Childhood. Fetal and Neonatal Edition

296. Organizational and provider level factors in implementation of trauma-informed care after a city-wide training: an explanatory mixed methods assessment. Full Text available with Trip Pro

and provider factors were identified using qualitative methods.Analysis of survey data indicated significant improvements in participants' organizational culture and professional satisfaction at training completion. Participants' perceptions of their own burnout and secondary traumatic stress also increased. Four themes emerged from analysis of the interview data, including "Implementation of more flexible, less-punitive policies towards clients," "Adoption of trauma-informed workplace design," "Heightened (...) , teamwork climate and collaboration, and individual factors including providers' compassion satisfaction, burnout, and secondary traumatic stress, to better support TIC implementation.

2017 BMC health services research

297. Resilience training for healthcare providers: an Asian perspective Full Text available with Trip Pro

Resilience training for healthcare providers: an Asian perspective The level of burnout has been found to be high in medical students, alongside maladaptive coping behaviours such as heightened alcohol and drug intake and mental health issues in the US, Europe and other developed countries. While burnout and resilience in healthcare have been researched in the West, there is a paucity of data in Asia pertaining to these factors. In this article, we review stressors in medicine, specifically (...) during medical school training, the consequences of burnout on physicians' health and patient care, and the interventions that might expound resilience among students. Finally, we present potential solutions within an Asian context.

2016 mHealth

298. Strategies for fostering resilience as veterinary care providers Full Text available with Trip Pro

of veterinary professionals. She facilitates wellness workshops and retreats for veterinarians, technicians, and other veterinary care providers. For more information, please visit www.criticalcarevet.ca. eng Journal Article Canada Can Vet J 0004653 0008-5286 IM Burnout, Professional prevention & control psychology Humans Resilience, Psychological Veterinarians psychology Veterinary Medicine 2017 10 3 6 0 2017 10 3 6 0 2017 12 12 6 0 ppublish 28966364 PMC5603922 J Support Oncol. 2013 Jun;11(2):75-81 (...) Strategies for fostering resilience as veterinary care providers 28966364 2017 12 11 2018 11 13 0008-5286 58 10 2017 10 The Canadian veterinary journal = La revue veterinaire canadienne Can. Vet. J. Strategies for fostering resilience as veterinary care providers. 1113-1116 Holowaychuk Marie K MK Marie K. Holowaychuk, DVM, DACVECC is a small animal emergency and critical care specialist and certified yoga and meditation teacher who has an invested interest in the health and well-being

2017 The Canadian Veterinary Journal

299. The barriers and facilitators that indigenous health workers experience in their workplace and communities in providing self-management support: a multiple case study. Full Text available with Trip Pro

, and negative experiences within mainstream health services. IHW burnout from time pressures, lack of support, and high staff turnover were also considered important barriers.This study contributes an insight into the experiences of IHWs who are considered important stakeholders in implementation and sustainability of chronic condition management programs, including the FCTGP. Recommendations focus on supporting and supplementing the role of IHWs and identify the FCTGP as a facilitator in providing self (...) The barriers and facilitators that indigenous health workers experience in their workplace and communities in providing self-management support: a multiple case study. The inequality in health outcomes between Indigenous (Throughout the paper, the term Indigenous will be used to represent both Aboriginal Australians and Torres Strait Islander Australians.) and non-Indigenous Australians continues to be a major public health issue. Chronic conditions are responsible for the majority of the gap

2017 BMC health services research

300. Associations of stress and burnout among Australian-based doctors involved in after-hours home visits Full Text available with Trip Pro

the National Home Doctor Service (NHDS), Australia's largest home visiting doctor-service provider. The Maslach Burnout Inventory (MBI) was used to assess burnout over a 12-month period from October 2013 to September 2014. Ordinal logistics regression was used to identify significant associations.There were 168 valid responses received, giving a 56 per cent response rate. The most significant factor associated with reduced stress and burnout is the adoption of self-protection measures while on the job (...) Associations of stress and burnout among Australian-based doctors involved in after-hours home visits The after-hours house call (AHHC) service in Australia is growing, but studies have never explored the doctor variables associated with burnout and stress within the service. This study fills this knowledge gap.To determine the doctor variables associated with burnout and stress among doctors involved in AHHC.A quantitative, questionnaire-based survey of all 300 doctors engaged in AHHC through

2015 The Australasian medical journal

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